. Manual of operative surgery. Purae-5trir\SSuture Fig. 698. Figs. 698 and FiG. Theend of the tube should be bevelled or trimmed in the fishtail fashion. In-troduce this dressed tube a short distance into the gall-bladder. Withplain catgut suture the edges of the gall-bladder wound snugly to the the tube a little further into the gall-bladder, thus inverting that portionof the gall-bladder around the tube and the original line of suture. With aLembert suture of catgut attach the surface of the gall-bladder all aroundthe tube to the tube. Leave the ends of
. Manual of operative surgery. Purae-5trir\SSuture Fig. 698. Figs. 698 and FiG. Theend of the tube should be bevelled or trimmed in the fishtail fashion. In-troduce this dressed tube a short distance into the gall-bladder. Withplain catgut suture the edges of the gall-bladder wound snugly to the the tube a little further into the gall-bladder, thus inverting that portionof the gall-bladder around the tube and the original line of suture. With aLembert suture of catgut attach the surface of the gall-bladder all aroundthe tube to the tube. Leave the ends of this last suture long, and with a needleattach them to the parietal peritoneum. The advantages of this procedure are: (a) The purse-string suture preventsleakage of bile around the drainage-tube, (b) When the tube is withdrawn,the inversion of the bladder wound leaves serous surfaces in contact, there isno prolapse of mucous membrane, and hence closure of the fistula is numerous small calculi and much biliary san
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